top of page

Proactive Medical and Life Data Protection and Consent Form

Proactive Medical and Life is an appointed representative of Health Net Services Ltd who are Authorised and Regulated by the Financial Conduct Authority (FCA). The FCA regulates financial services in the UK and you can check our authorisation and permitted activities on the Financial Services Register by visiting the FCA’s website or by contacting the FCA on 0800 111 6768.


To enable us to provide services to you we need to collect and process your personal data. The information you provide is subject to data protection laws.


In addition to processing personal data about you such as your name, address etc, we also require data which is classed as “sensitive” such as medical information.

Processing includes obtaining, recording or holding information or data, transferring it to other companies associated with us, product providers, the FCA or any other statutory, governmental or regulatory body for legitimate purposes. We will not process any of your sensitive data without your consent.

If at any time you wish us, or any company associated with us to cease processing your sensitive personal data, please contact The Data Protection Officer on 0800 999 8 999 or in writing at Healthnet Services, County Gates House, 300 Poole Road, Poole, Dorset, BH12 1AZ. Please note that we will not be able to provide the services without this information.


You may be assured that we and any company associated with us will treat all personal data and sensitive personal data as confidential and will not process it other than for the purpose for which is was collected. Steps will be taken to ensure that the information is accurate, kept up to date and not kept for longer than is necessary. Measures will also be taken to safeguard against unauthorised or unlawful processing and accidental loss or destruction or damage to the data.


Once complete please either scan and email this back to us at or fax it back to us on 0870 139321 or kindly post it to us to:

Proactive Medical & Life Ltd

30 Grosvenor Road




We will also accept an email confirming that you consent to the above. Please simply email us to confirm that you agree to the above statement at

bottom of page